Recurrent syncope with hyponatremia as presentation of COVID-19 viral pneumonia: Case report
Abstract Syncope is the most common neurological presentation in intensive care setting and has diverse etiological factors ranging from ischemic and nonischemic neurovascular, cardiac dysfunction related, infectious, electrolyte imbalance, inflammatory factors to simple viral fever, and other syste...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | The Journal of Association of Chest Physicians |
| Subjects: | |
| Online Access: | http://www.jacpjournal.org/article.asp?issn=2320-8775;year=2022;volume=10;issue=2;spage=112;epage=119;aulast=Patil |
| _version_ | 1797954942139367424 |
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| author | Shital Patil Gajanan Gondhali |
| author_facet | Shital Patil Gajanan Gondhali |
| author_sort | Shital Patil |
| collection | DOAJ |
| description | Abstract
Syncope is the most common neurological presentation in intensive care setting and has diverse etiological factors ranging from ischemic and nonischemic neurovascular, cardiac dysfunction related, infectious, electrolyte imbalance, inflammatory factors to simple viral fever, and other system-related illnesses. Coronavirus disease-19 (COVID-19) is known to cause pulmonary and extrapulmonary complications including effects on cardiovascular, gastrointestinal, renal, and neurovascular systems. In this case report, we have documented a 70-year-old male presented with recurrent syncope with flu-like illness, HRCT thorax suggestive of pneumonia involving bilateral lower lobe, COVID-19 real-time polymerase chain reaction (RT-PCR) positive, with abnormal laboratory parameters such as platelet count, CRP, serum sodium, and vitamin B12 level. Further investigations such as echocardiography, MRI brain and MRI angiography, and carotid Doppler were inconclusive. We have observed excellent clinical and radiological response to steroids, anticoagulants, antiplatelets, and remdesivir with other supportive care in critical care unit. |
| first_indexed | 2024-04-10T23:25:24Z |
| format | Article |
| id | doaj.art-87f740f663a5474a8648475d6e520321 |
| institution | Directory Open Access Journal |
| issn | 2320-8775 2320-9089 |
| language | English |
| last_indexed | 2024-04-10T23:25:24Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | The Journal of Association of Chest Physicians |
| spelling | doaj.art-87f740f663a5474a8648475d6e5203212023-01-12T12:22:12ZengWolters Kluwer Medknow PublicationsThe Journal of Association of Chest Physicians2320-87752320-90892022-01-0110211211910.4103/jacp.jacp_1_22Recurrent syncope with hyponatremia as presentation of COVID-19 viral pneumonia: Case reportShital PatilGajanan GondhaliAbstract Syncope is the most common neurological presentation in intensive care setting and has diverse etiological factors ranging from ischemic and nonischemic neurovascular, cardiac dysfunction related, infectious, electrolyte imbalance, inflammatory factors to simple viral fever, and other system-related illnesses. Coronavirus disease-19 (COVID-19) is known to cause pulmonary and extrapulmonary complications including effects on cardiovascular, gastrointestinal, renal, and neurovascular systems. In this case report, we have documented a 70-year-old male presented with recurrent syncope with flu-like illness, HRCT thorax suggestive of pneumonia involving bilateral lower lobe, COVID-19 real-time polymerase chain reaction (RT-PCR) positive, with abnormal laboratory parameters such as platelet count, CRP, serum sodium, and vitamin B12 level. Further investigations such as echocardiography, MRI brain and MRI angiography, and carotid Doppler were inconclusive. We have observed excellent clinical and radiological response to steroids, anticoagulants, antiplatelets, and remdesivir with other supportive care in critical care unit.http://www.jacpjournal.org/article.asp?issn=2320-8775;year=2022;volume=10;issue=2;spage=112;epage=119;aulast=Patilcovid-19 pneumoniahyponatremiasyncopeviral pneumonia |
| spellingShingle | Shital Patil Gajanan Gondhali Recurrent syncope with hyponatremia as presentation of COVID-19 viral pneumonia: Case report The Journal of Association of Chest Physicians covid-19 pneumonia hyponatremia syncope viral pneumonia |
| title | Recurrent syncope with hyponatremia as presentation of COVID-19 viral pneumonia: Case report |
| title_full | Recurrent syncope with hyponatremia as presentation of COVID-19 viral pneumonia: Case report |
| title_fullStr | Recurrent syncope with hyponatremia as presentation of COVID-19 viral pneumonia: Case report |
| title_full_unstemmed | Recurrent syncope with hyponatremia as presentation of COVID-19 viral pneumonia: Case report |
| title_short | Recurrent syncope with hyponatremia as presentation of COVID-19 viral pneumonia: Case report |
| title_sort | recurrent syncope with hyponatremia as presentation of covid 19 viral pneumonia case report |
| topic | covid-19 pneumonia hyponatremia syncope viral pneumonia |
| url | http://www.jacpjournal.org/article.asp?issn=2320-8775;year=2022;volume=10;issue=2;spage=112;epage=119;aulast=Patil |
| work_keys_str_mv | AT shitalpatil recurrentsyncopewithhyponatremiaaspresentationofcovid19viralpneumoniacasereport AT gajanangondhali recurrentsyncopewithhyponatremiaaspresentationofcovid19viralpneumoniacasereport |